arfisencriptado.clientsandorra.com
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185.2.4.17
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URL:
https://arfisencriptado.clientsandorra.com/
Submission: On September 26 via automatic, source certstream-suspicious — Scanned from DE
Submission: On September 26 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOMName: form_registre —
<form name="form_registre" id="form_registre" class="wpcf7-form">
<div class="vc_col-sm-12 wpb_column column_container ">
<div class="screen-reader-response"></div>
</div>
<div class="vc_col-sm-6 wpb_column column_container ">
<div class="wpb_wrapper">
<div class="vc_empty_space" style="height: 32px"><span class="vc_empty_space_inner"></span></div>
<div role="form" class="wpcf7" id="wpcf7-f4-p15-o1" dir="ltr">
<p> Nombre (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_nom" value="" id="registre_nom" class="validate[required]">
</span>
</p>
<p> Apellidos (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_cognoms" value="" id="registre_cognoms" class="validate[required]">
</span>
</p>
<p> Fecha Alta CASS (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="date" name="registre_altaCass" value="" id="registre_altaCass" class="validate[required] hasDatepicker">
</span>
<script>
$("#registre_altaCass").datepicker({
inline: true,
dateFormat: "yy-mm-dd",
minDate: -30,
maxDate: "+5D"
});
</script>
</p>
<p> NRT (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_nrt" value="" id="registre_nrt" class="validate[required]">
</span>
</p>
<p> Documento de identidad (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_document_identitat" value="" id="registre_document_identitat" class="validate[required]">
</span>
</p>
<p> Teléfono (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_telefon" value="" id="registre_telefon" class="validate[required]">
</span>
</p>
<!--<p><input type="submit" value="Enviar" class="wpcf7-form-control wpcf7-submit" /></p>-->
</div>
</div>
</div>
<div class="vc_col-sm-6 wpb_column column_container ">
<div class="wpb_wrapper">
<div class="vc_empty_space" style="height: 32px"><span class="vc_empty_space_inner"></span></div>
<div role="form" class="wpcf7" id="wpcf7-f4-p15-o1" dir="ltr">
<p> Email (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_email" value="" id="registre_email" class="validate[required]">
</span>
</p>
<p> Nombre Empresa (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_nom_empresa" value="" id="registre_nom_empresa" class="validate[required]">
</span>
</p>
<p> Persona de contacto Empresa (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_nom_contacte_empresa" value="" id="registre_nom_contacte_empresa" class="validate[required]">
</span>
</p>
<p> Teléfono contacto empresa (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_telefon_contacte_empresa" value="" id="registre_telefon_contacte_empresa" class="validate[required]">
</span>
</p>
<p> Email contacto empresa (requerido)<br>
<span class="wpcf7-form-control-wrap your-name">
<input type="text" name="registre_email_contacte_empresa" value="" id="registre_email_contacte_empresa" class="validate[required]">
</span>
</p>
</div>
</div>
</div>
<div class="vc_col-sm-12 wpb_column column_container "><input type="submit" value="Enviar" class="wpcf7-form-control wpcf7-submit"></div>
</form>
Text Content
C/Dr. Vilanova, 13.Esc.C. 3er pis.arfis@andorra.ad+376 803 321 * Español * Català Login ARFIS Agencia de representación fiscal Formulari de petició de servei, sense compromís Nombre (requerido) Apellidos (requerido) Fecha Alta CASS (requerido) NRT (requerido) Documento de identidad (requerido) Teléfono (requerido) Email (requerido) Nombre Empresa (requerido) Persona de contacto Empresa (requerido) Teléfono contacto empresa (requerido) Email contacto empresa (requerido)